07-101523 City of Federal Way Electrical Permit #: 07-101523-00- EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: BELMOR MOBILE HOME PARK SPACE 271
Project Address: 2101 S 324TH ST Space 271 Parcel Number: 162104 9037
Project Description: Connecting power to new mobile home
Owner Applicant Contractor
BELMOR MOBILE HOME PARK SHEPPARD TECHNOLOGIES INC. SHEPPARD TECHNOLOGIES INC.
2101 S 324TH CT PO BOX 3630 SHEPPTI956Q1 11/21/07
FEDERAL WAY WA 98003 KENT WA 98032-0210 PO BOX 3630
KENT WA 98032-0210
Additional Permit Information
Electrical Fixtures
Service or Feeder-Manu./M.H. P 1
PERMIT EXPIRES Tuesday, September 18, 2007
Permit Issued on Thursday, March 22, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
-19g 1 `i and the City of Federal Way.
Owner or agent: 4n 1 hL IV i Date: 3)ZZ/..D7
sl•-. 3- 3 a.- on c rte.._•
THIS CARD IS TO REMAIN ON-SITE -
•
CIF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-101523-00-EL
Owner: BELMOR MOBILE HOME PARK
Address: 2101 S 324TH ST Space 271
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑ Slab/Concrete Floor(4255) ❑ Final -Electrical(4055)
Approved to place concrete Approved
By Date By C- w. Date •b a 7
33)z 9Io-÷
4- . S 312-7 / Foe_ r D
D ACC Foe_ LP.
•
„A fk Zoos �7. - I.0L5
Federal Way MpR 2 ti o,p,PERMIT SF MF CO apPL DE EN FP
C258TPVENUESUTH•PO �� G 'PLICATION
33325 FEDERAL WA SOUTH•PO BOX 9718 3D /
FEDERAL WAY,WA 98 063-9 718 ``,,
253835-2607•FAX 253-835-260M1 Q�14Q\``
wom.riaptrederalumw.com VV V
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS ..1 1 5, 3ZH t'1+ SUITE/UNIT 41 2.-1 i
ASSESSOR'S TAX/PARCEL# - _ — — LOT SIZE(sf
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page far lengthy legal description)
MI PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION KELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
c°nelec.A:A3 po..Jc.( Jr., (' te,) m�b:l . ko.'r,e.
PROJECT NAME(Name of Business or Owner Last Name) ae1 MSC 1• 1 b's le `+ Me Prick'
• PEOPLE INFORMATION
PROPERTY NAME rs 1 �n 1� PRIMARY PHONE
OWNER De-1 MO( Ir lb,'z op,. pl (C, ( L5 ) X355 - G511
MAILING ADDRESS Cr, ATE,ZIP 1 r x...3 E-MAIL ADDRESS
210) 5 . '3Z�{*1^I 1-c°�e(e l t W H'i�A
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
5RefTikrvo Tex-HneL034s slime ( zolo)`ell( - 1333
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
P= 3=,t 3103. Kent %A1& g4o f ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
10 - 0;0- i<=, .55‘1� -0 0 - 13L (ZO i:) <c-t--4 - -vd d l
COPT of CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with each pWwtoo � F} (`-Z 1 -`=,
EPPTI.95��?1
COMPANY NAME APPLICANT NAME OFFICE PHONE
APPLICANT (Zo t ) �Zcl - 733.
�NGADDRESS I ecF�3.)ol-o) SutZIP�
MAILING ADDRESS ,7 ) `C1//17Y__.STATE,ZIP �y CELL PHONE
P'� 5 x ' Io � Keat• UJR �'1'DO-6f3 ( )
RELATIONSHIP TO PROJECT 1 / FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other -r'r r taGi- ( ( z k') 1/1 - 1.333
NAME PRIMARY PF E-MAIL ADDRESS
CONTACT (V ( ,,y 1 g11 -t Zy
CONTACT ,t' 1.I'.t° I' IC.��G 1 (._ �).
LENDER NAME Per RCW ia.x i.ara°,
Lender information is required if project value exceeds$5,000
MAILING ADDRESS COY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN c HIGHLINE c TACOMA c PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
MI PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
,
S!.FT. S!.FT. S_.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
6tl8TTTi0 PROPOSED
TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
"*NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE S
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING URINALS MISC(Describe)
BATHTUBS for nm/mower Combo) LAYS(Bathroom Sinks)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(tune)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,includi g its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE If( ��Yn�C T
Jt 1 { - DATE -.7ZZ1.�7
!Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner s 'Agent 7ontractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO
BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES e NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
Page 1,2007 Pa e 2 of 4 k\Handouts\Permit Application
•
ELECTRICAL PERMIT INFORMATION
SERVICE
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet ❑ 0 to 100 amp $120.50 $74.00
(First 1300 00 E
ft%-$111.00;Each add'n 500 ft%-$35.50) ❑ 101-200 amp 149,50 94.50
❑ Detached outbuilding or garage ❑ 201-400 amp 280.00 111.00
(Inspected with service) $47.00 ❑ 401 -600 amp 327.00 131.00
❑ Detached led separately)ly garage ❑ 601-800 amp 423.00 179.00
(Inspected separately) $74.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
$120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 200 amp LI Mast or meter repair $102.00
13 20 01 -400 amp 149.50 74.00
❑ 401 -600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 262.00 140.50 Service Feeders
13 e or Over 800 amp 375.50 280.50
❑ 0to200amp $120.50 e or
❑ 201 -600 amp 280.50
ALTERED SINGLE/MULTI FAMILY ❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ _#of circuits to be added/altered
(1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ over 600 amp 225.50
COMMERCIAL/INDUSTRIAL PLAN REVIEW
❑ #of uircuts O0 Ax added/altered circuits$7. $94.50 plus 35%of Permit Fee
(1-4 Mrcults-$74.00:Add'n circuits$7.00/ea) ❑ Service- 1,000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
in I . 'i-
Servic-. and $74.00
• c rvfce and feeder ' 20.50 TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $65.00
X ( #of service or feeders Commercial/Industrial Service or Feeder Ampacity
(First service/feeder-$74.00;each add'n-$48.00) ❑ 0- 100 amps $74.00
❑ 101 -200 amps 94.50
❑ 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ _#of Thermostats ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/eat
❑ Swimming pool/hot tub $111.00
13 Low Voltage (Includes additional circuit,if required)
Square Feet to be served by system(s) U ard Pole meter loops $74.00
❑ Fire Alarm System
❑ Security Alarm System ❑ Additional Plan Review $1 11.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
O ❑ Automation Fee on all Permits .. $5.00
PA 2500 ft2-$65.00;
Each add'n 2500 fi%-17.00)•Per WAC 296-46-910(5103W e+W
Bulletin#100-January 1,2007
Page 3 of 4 k\Handouts\Permit Application